Management system failures identified in incidents investigated by the U.S. Chemical Safety and Hazard Investigation Board

Process Safety Progress

Volumn 23, Issue 4, 2004, Pages 232-236

  Blair, Angela S ^a  

^a US Chem Safety/Hazard Invest Bd   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ACCIDENT PREVENTION; HAZARDOUS MATERIALS; MANAGEMENT INFORMATION SYSTEMS; PERSONNEL TRAINING; PROCESS CONTROL; REGULATORY COMPLIANCE;

HAZARD INVESTIGATION BOARD (CSB); PROCESS SAFETY MANAGEMENT (PSM);

SOCIETIES AND INSTITUTIONS;

ACCIDENT INVESTIGATION;

EID: 12344256787     PISSN: 10668527     EISSN: None     Source Type: Trade Journal    
DOI: 10.1002/prs.10049     Document Type: Article

References (23)

1. E.E. Adams, Total quality safety management - An introduction, American Society of Safety Engineers (ASSE), 1995.
2. Center for Chemical Process Safety (CCPS), Guidelines for investigating chemical process incidents, American Institute of Chemical Engineers, New York, 1992.
3. CCPS, Guidelines for preventing human error in process safety, American Institute of Chemical Engineers, New York, 1994.
4. CCPS, Guidelines for technical management of chemical process safety, American Institute of Chemical Engineers, New York, 1989.
5. United States Chemical Safety and Hazard Investigation Board (CSB), Investigation report: Explosive manufacturing incident, Sierra Chemical Company, Mustang, Nevada, January 7, 1998, CSB, 1998.
6. CSB, Summary report: Nitrogen asphyxiation, Union Carbide Corporation, Hahnville, Louisiana, March 27, 1998, CSB, 1999.
7. CSB, Investigation report: Propane tank explosion, Herrig Brothers Feather Creek Farm, Albert City, Iowa, April 9, 1998, CSB, 1999.
8. CSB, Investigation report: Chemical manufacturing incident, Morton International, Inc., Paterson, New Jersey, April 8, 1998, CSB, 2000.
9. CSB, Investigation report: Catastrophic vessel overpressurization, Sonat Exploration Company, Temple 22-1 Common Point Separation Facility, Pitkin, Louisiana, March 4, 1998, CSB, 2000.
10. CSB, Investigation report: Refinery fire incident, Tosco Avon Refinery, Martinez, California February 23, 1999, CSB, 2001.
11. CSB, Investigation report: Steel manufacturing incident, Bethlehem Steel Corporation, Burns Harbor Division, Chesterton, Indiana, February 2, 2001, CSB, 2001.
12. CSB, Safety bulletin: Management of change, August 2001, CSB, 2001.
13. CSB, Case study: Explosion at Concept Sciences: Hazards of hydroxylamine, March 2002, CSB, 2002.
14. CSB, Investigation report: Thermal decomposition incident, BP Amoco Polymers, Inc., Augusta, Georgia, Match 13, 2001, CSB, 2002.
15. CSB, Investigation report: Refinery incident, Motiva Enterprises LLC, Delaware City Refinery, Delaware City, Delaware, July 17, 2001, CSB, 2002.
16. CSB, Investigation report: Hydrogen sulfide poisoning, Georgia-Pacific, Naheola Mill, Pennington, Alabama, January 16, 2002, CSB, 2002.
17. CSB, Investigation report: Petroleum products facility incident, Third Coast Industries, Friends-wood, Texas, May 1, 2002, CSB, 2003.
18. CSB, Investigation report: Chlorine release, DPC Enterprises, L.P., Festus, Missouri, August 14, 2002, CSB, 2003.
19. CSB, Investigation report: Vapor cloud deflagration and fire, BLSR Operating, Ltd., Rosharon, Texas, January 13, 2003, CSB, 2003.
20. CSB, Case study: Hydrogen sulfide exposure, Environmental Enterprises, Inc., Cincinnati, Ohio, December 11, 2002, CSB, 2003.
21. CSB, Investigation report: Chemical waste-mixing incident, Kaltech Industries Group, Inc., Borough of Manhattan, New York, NY, April 25, 2002, CSB, 2003.
22. CSB, Investigation report: Explosion and fire, First Chemical Corp., Pascagoula, Mississippi, October 13, 2002, CSB, 2003.
23. Columbia Accident Investigation Report, Vol. 1, APOGEE, 2003.